NPI | 1205180569 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK E VAUGHN Board President 618-585-2500 |
Organization Subpart ? | No |
Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic (Licence: IL 043617) |
Enumeration Date | 2012-11-07 |
Last Update Date | 2012-11-07 |